INDIAN INSTITUTE OF MANAGEMENT KOZHIKODE

IIMK Campus P.O, Kunnamangalam - 673 570

Phone: +91-495-2803001 Fax: +91-495-2803010-11

ONLINE APPLICATION FORM

Notification No: R-01/2019 Date: 11/02/2019
________________________________________________________________________________

Name of the Post Applied : SENIOR SYSTEMS MANAGER (Group-A)

Application No. : SSM199964

Name of Candidate : SOUMITRA GHOSH

Name of Father/Spouse : SRIKUMAR GHOSH

Nationality : INDIAN

Date of Birth : 01/03/1973

Age : 46

Gender : Male

Category : UR

Differently Abled : No

Ex-Serviceman : No

IIMK Regular Staff : No

Email ID : gsoumitra2005@gmail.com

Mobile No. : 9836856670

Address : 32C, Seven Tanks Lane

District : Kolkata

State : West Bengal

Pin Code : 700030

page 1 / 3
Basic Educational Qualifications Required for post :

Exam Year of Percentage Subject /

passed University/ Board Passing Class of marks Specialization
(%)
MCA IGNOU 2007 2 56.72 Computer applications
Bsc University of Calcutta 1995 2 52.25 Botany Honours,
Zoology & Chemistry
Pass

Experience :

Post held Period of service

Basic Salary Name of office
(Designation) per month / organization Nature of work
From To in Rupees with address
Senior Manager Systems 25-09-2000 31-07-2019 26400 STUP Systems
Consultants Pvt. administration,
Ltd. Networks, IT Manager

Computer Knowledge :
Computer applications; Hardware & Software, Network, Firewall installation,
maintenance.

Application Fee Status: SUCCESS

Reference 1 Reference 2
Achintya Kumar Hazra Amit Paul
Principal Technical Supervisor Sr. Draftsman
Jujersa, Howrah Majherhati, Nimta
24-Parganas (N)

981394328 9681815412
akhazra60@gmail.com amitpaul2001a@gmail.com
Declaration :

I hereby declare that all the statements made in this application form are true, complete and correct
to the best of my knowledge and belief. I understand that in the event of any information being
found false or incorrect at any stage, my application is liable to be rejected and if already
appointed, my services are liable to be terminated without notice.

Signature & Name

page 2 / 3
 Place : Kolkata
Date : 31/07/2019

page 3 / 3

Powered by TCPDF (www.tcpdf.org)